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psnet.ahrq.gov/node/42598/psn-pdf
September 18, 2013 - Prompting physicians to address a daily checklist for
antibiotics: do we need a co-pilot in the ICU?
September 18, 2013
Weiss CH, Wunderink RG. Prompting physicians to address a daily checklist for antibiotics: do we need a
co-pilot in the ICU? Curr Opin Crit Care. 2013;19(5):448-52. doi:10.1097/MCC.0b013e328364d53…
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psnet.ahrq.gov/node/47338/psn-pdf
September 19, 2018 - Avoidable sepsis infections send thousands of seniors to
gruesome deaths.
September 19, 2018
Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018.
https://psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
Sepsis is a serious condition that can …
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psnet.ahrq.gov/node/46978/psn-pdf
April 04, 2018 - Using the patient safety huddle as a tool for high
reliability.
April 4, 2018
Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm
J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004.
https://psnet.ahrq.gov/issue/using-patient-safety-huddle-t…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/aph.html
August 01, 2022 - Event Investigation and Analysis Guide: Appendix H
Hierarchy of Solutions
Do solutions meet the following criteria:
Address the root cause/contributing factor.
Are specific and concrete.
Can be understood and implemented by a reader unfamiliar with the situation.
Will be tested or simulated prior to…
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psnet.ahrq.gov/node/45001/psn-pdf
June 01, 2016 - Relationship between job burnout, psychosocial factors
and health care–associated infections in critical care
units.
June 1, 2016
Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and
health care-associated infections in critical care units. Intensive Crit Care Nurs…
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psnet.ahrq.gov/node/43385/psn-pdf
August 06, 2014 - Medicines management support to older people:
understanding the context of systems failure.
August 6, 2014
Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of
systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-005302.
https://psnet.ahrq.gov/issu…
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www.ahrq.gov/patient-safety/reports/advancing-patient-safety.html
March 01, 2024 - Advancing Patient Safety
Advancing Patient Safety: A Decade of Evidence, Design, and Implementation
This document highlights some of the Agency's contributions in advancing patient safety during the past decade.
Advances in Patient Safety: From Research to Implementation
This four-volume set from AHRQ and t…
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www.uspreventiveservicestaskforce.org/apps/index.jsp
The Prevention TaskForce (formerly ePSS) application assists primary care clinicians to identify the screening, counseling, and preventive medication services that are appropriate for their patients.
The Prevention TaskForce data is based on the current recommendations of the U.S. Preventive Services Task Force (USPS…
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-j-cdspain-additional-resources.docx
August 12, 2024 - AppendixJ_AHRQ_CDSPain
Appendix J. Additional Resources
The resources outlined in Appendix J are meant to provide the practice champion, implementation team, and clinicians with additional resources to support their learning and improvement efforts.
Clinician Resources
· Prescribing opioids
· Strategies to engage with…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
February 23, 2008 - as a team within and across departments to
support a flexible culture; and multiple approaches to communicate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-implementation-factraining-guide.pdf
June 02, 2025 - It also
may help the staff feel valued and increase the likelihood that
they will communicate changes
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie-rev-0724update.pdf
July 01, 2024 - Computer Graphics
2006-2009
$100,000
Purpose: To develop novel interactive computer graphics to communicate
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www.ahrq.gov/sites/default/files/wysiwyg/sops/databases/hospital/2024-hospital-database-report-ptI.pdf
January 01, 2024 - Surveys on Patient Safety Culture (SOPS) Hospital Survey 2.0: 2024 User Database Report Part I
SURVEYS ON PATIENT
SAFETY CULTURE®
Surveys on
Patient Safety
Culture®
Hospital Survey 2024 Database Report
PATIENT
SAFETY
[This page intentionally left blank]
Surveys on Patient Safety Culture® (SOPS®)
Hospital …
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/hi24.jsp
July 01, 2016 - Enhancing Hawaii Hospital Information Content: Hospital Engagement.
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol…
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psnet.ahrq.gov/web-mm/beeline-spine
March 01, 2014 - SPOTLIGHT CASE
Beeline to Spine
Citation Text:
Smetana GW. Beeline to Spine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…
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www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
January 01, 2024 - Final Progress Report: Partnering With Patients To Find Adverse Events
Weingart, 1 K08 HS11644
Partnering with Patients to Find Adverse Events
Saul N. Weingart, MD, PhD
VP for Patient Safety
Dana-Farber Cancer Institute, and
Associate Professor of Medicine
Harvard Medical School
44 Binney St.
Boston, MA 02…
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cdsic.ahrq.gov/sites/default/files/2024-05/Innovation%20Center%20Q1%202024%20Progress%20Report.pdf
January 01, 2024 - CDSiC Innovation Center: Quarterly Report
INNOVATION CENTER PROGRESS REPORT
M A R C H 2 0 2 4
CDSiC Innovation Center:
Quarterly Report
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
www.ahrq.gov
Contract No: 75Q80120D00018
Prepared by:
NORC at the Univer…
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digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
June 01, 2010 - The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature
The AHRQ Health IT Value Grant Initiative:
A Programmatic Review of the Peer-Reviewed
Literature
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department …
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - long-term, equity-
focused collaborative Patient Safety Learning Lab that codesigns ways to identify,
communicate … With Just-in-Time
Feedback
2022-2026
$954,684
Purpose: Test a tool that can actively monitor and communicate
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cdsic.ahrq.gov/sites/default/files/2023-09/TPC_Codesign%20Report%20to%20AHRQ%20FINAL.pdf
January 01, 2023 - When suggestions cannot be incorporated, developers
may be expected to communicate why they were unable … Communicate clearly about expectations and roles/responsibilities of designers and end-
users.83 This … important to
document key design changes that have been made based on end-user input, and then
communicate